Low parental literacy is associated with worse asthma care measures in children
Low parental literacy is associated with worse asthma care measures in children
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DOI：
10.1016/j.ambp.2006.10.001
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发表时间：
2007-01-01
期刊：
影响因子：
--
通讯作者：
Pignone, Michael P.
中科院分区：
文献类型：
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作者：
DeWalt, Darren A.;Dilling, Marylee H.;Pignone, Michael P.
客观。-为了确定父母识字是否与哮喘儿童的急诊室就诊，住院和缺课天数有关。我们在一所大学的儿科诊所进行了一项回顾性队列研究。我们招募了3至12岁的儿童，他们被诊断患有哮喘，并在研究中心及其父母或监护人接受定期护理。主要哮喘护理措施包括自我报告的急诊就诊率、住院率和缺课天数。二级哮喘护理措施包括急救和控制药物的使用，哮喘严重程度的分类，以及父母的哮喘相关知识。我们招募了150名儿童和他们的父母。24%的父母识字率低。父母文化程度低的儿童急诊就诊率较高（校正的发生率比[IRR] 1.4; 95%置信区间0.97，2.0），住院（IRR 4.6; 1.8，12）和缺课天数（IRR 2.8; 2.3，3.4）即使调整了哮喘相关知识、疾病严重程度、药物使用和其他社会人口因素。文化程度低的父母对哮喘相关知识了解较少，他们的孩子更容易患中度或重度持续性哮喘，并更多地使用急救药物。父母文化水平低与哮喘儿童的护理措施较差相关。
Objective.-To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma.Methods.-We performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity, and parental asthma-related knowledge.Results.-We enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.4; 95% confidence interval 0.97, 2.0), hospitalizations (IRR 4.6; 1.8, 12), and days missed from school (IRR 2.8; 2.3, 3.4) even after adjusting for asthma-related knowledge, disease severity, medication use, and other sociodemographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications.Conclusions.-Low parental literacy is associated with worse care measures for children with asthma.